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1669223939
NATHALIA ELEANORLOUISE BAUM
O FALLON, IL
NPI
1669223939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.015947)
Enumeration Date
2024-03-27
Last Update Date
2024-03-27
Business Address
NATHALIA ELEANORLOUISE BAUM OTR/L
821 W HIGHWAY 50 STE 150
O FALLON, IL 62269-1828
Phone number: 618-726-0370
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Mailing Address
NATHALIA ELEANORLOUISE BAUM OTR/L
825 VERNON ST
EAST ALTON, IL 62024-1625
Phone number: 443-680-0371
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